Shannon Hall in Statesboro - Physician Assistant
Shannon Hall - NPI 1255536447
Shannon Hall is a Physician Assistant in Statesboro, Georgia. Shannon Hall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon Hall is 1255536447. The last update date is 2019-01-08.
Shannon Hall's current location address is 1449 Brampton Ave, Statesboro, Georgia. You can contact this provider via phone number 9128712900 and fax number 9128712903. The mailing address for Shannon Hall is 1449 Brampton Ave, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Hall |
|---|---|
| Address | 1449 Brampton Ave, Statesboro, Georgia |
| Phone Number | 9128712900 |
| Fax Number | 9128712903 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1255536447 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2019-01-08 |
Provider Mailing Address Detail
| Address | 1449 Brampton Ave |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 304580854 |
| Phone Number | 9128712900 |
| Fax Number | 9128712903 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4827 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 436946365A | GA | -- | |
| 436946365C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shannon Hall by the Centers for Medicare & Medicaid Services?
The Shannon Hall has been assigned the NPI (National Provider Identifier) 1255536447 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shannon Hall?
The Shannon Hall is situated at 1449 Brampton Ave, in the city of Statesboro, state of GA, with the zip code 304580854.
What is Shannon Hall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Hall is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255536447 to Shannon Hall?
The Centers for Medicare & Medicaid Services originally issued the 1255536447 to Shannon Hall on 2007-06-18.
As of what date was the information regarding Shannon Hall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Hall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-01-08.
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